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Pharmacist-led telehealth complaint management in patients with diabetes and depression. Junior Investigator: Lisa B. Cohen elder Investigator: Paul A. Pirragilia, M.D. Abstract Rationale: There is a high prevalence of major depression and significant depressive symptoms in patients with diabetes mellitus (DM). Co-morbid depression in diabetes results in decreased adherence to diabetes self-care and attenuates the effect of medical interventions. A pharmacistled diabetes case management program at the Providence VA Medical Center has improved treatment adherence, glycemic take and cardiac find reduction in patients with successive diabetes and loving illness. However, the frequent clinic rings that are necessary to control cardiac put on the line factors are cumbersome for patients and costly to the institution. We have other introductory data that show that depressed patients are responsive to a telehealth disease management program, but whether this strategy could be expend by clinical pharmacists to treat patients with diabetes and depression instead of the measuring individual visits has not been tested. Objective: To determine whether a pharmacist-led telehealth disease management program is superior to usual care in improving diabetes medication treatment adherence in patients with appendage diabetes and depression. Methods: We propose to conduct a randomized, controlled pilot study of 80 patients with concomitant diagnosis of diabetes and depression with a hemoglobin A1C > 8%. Forty patients give be randomly assigned to number one out the pharmacist-led telehealth program (experimental arm), which ordain include an initial visit to meditate about the technology, weekly monitoring of telehealth data, followed by telephone calls when alerted by the telehealth system for 6 months. Another 40 patients will be allocated to usual care (control arm). The primary outcome will b e the change in diabetes and depression me! dication...If you want to enamour a full essay, order it on our website: OrderEssay.net

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